ADAM BARNETT JORDAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

BARNETT

Last Name

JORDAN

Suffix

DMD

Business Name

ADAM BARNETT JORDAN DMD

Original Issue Date

11/17/2006

Effective Date

07/08/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012